Abstract
The idea of affiliated urologists is awell-established and functional intersectoral patient care concept. Due to policy changes, there has been asteady decline in the number of practicing affiliated urologists which is putting this organisational structure at risk. Patients benefit from this organisational structure as they only have one treating urologist and their treatment plan is not dependent on different treatment sectors. There is areduction in unnecessary repeat examinations, there is no loss in information and the patient knows his personal urologist. This is especially necessary with the demographic changes in Germany as well as the shortage in physicians. Using the urological practice in Münster and the operative care of patients at the Raphaelsklinik as an example, we would like to show how this system can function. Our concept was awarded with the Alexander-von-Lichtenberg Award at the 2018 Congress of the German Society of Urology. We hope that in the future politicians will make changes especially concerning the fee schedules, so that the affiliated urologist concept can be empowered.
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